1. Home
  2. Directory
  3. Massachusetts
  4. Boston
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

SEO HO SONG MD
NPI 1013667989
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 24, 2022PECOS EnrolledAccepts Medicare Assignment
330 BROOKLINE AVE DEPT OF, BOSTON, MA 02215(617) 667-1029 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Seo Ho Song Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEO HO SONG MD (NPI 1013667989) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Medical Center, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1013667989
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSEO HO SONGCredential: MD
Location Address330 BROOKLINE AVE DEPT OFBoston, MA 02215-5491
Mailing Address330 Brookline Ave Dept OfBoston, MA 02215-5491 · (617) 667-1029
Phone(617) 667-1029
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 24, 2022
Last NPPES UpdateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
✔ NPI 1013667989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
330 BROOKLINE AVE DEPT OF, Boston, MA 02215
Open in Google Maps ↗

Secondary Practice Location 1

Location 1330 Brookline AveBoston, MA 02215-5491 · Phone (617) 667-1029

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Seo Ho Song Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628584703
PECOS Enrollment IDI20250724001237
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Seo Ho Song reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc
Same address
Internal Medicine
330 BROOKLINE AVE
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,579 clinicians in this Medicare group
NPI 1194765438 (617) 754-9600
Hri Hospital, Inc
1.1 mi
Psychiatric Hospital
227 BABCOCK ST
Brookline, MA 02446
  • Reassigned Medicare billing, Massachusetts enrollment
  • 23 clinicians in this Medicare group
NPI 1518938174 (617) 731-3200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOSEPH ELIAS CHAHINE JR.
Student in an Organized Health Care Education/Training Program
330 BROOKLINE AVE DEPT OF
BOSTON, MA 02215
Suffolk County (617) 667-3112
KAYLEIGH MCDONALD
Nurse Anesthetist, Certified Registered
330 BROOKLINE AVE DEPT OF
BOSTON, MA 02215
Suffolk County (617) 667-3110
GABRIELLA ANDREA OJEDA-BADILLO MD
Student in an Organized Health Care Education/Training Program
330 BROOKLINE AVE DEPT OF
BOSTON, MA 02215
Suffolk County (617) 667-7000
FANGYU CHEN MD
Anesthesiology
330 BROOKLINE AVE DEPT OF
BOSTON, MA 02215
Suffolk County (617) 677-7000
RYAN CUERDON PA-C
Physician Assistant
330 BROOKLINE AVE DEPT OF
BOSTON, MA 02215
Suffolk County (617) 667-3940
DR. DARIO WINTERTON MD
Anesthesiology
330 BROOKLINE AVE DEPT OF
BOSTON, MA 02215
Suffolk County (617) 667-3112
JOSEPH D BERTRAND CRNA
Nurse Anesthetist, Certified Registered
330 BROOKLINE AVE DEPT OF
BOSTON, MA 02215
Suffolk County (617) 667-3110
ALEXEI KUDLA M.D.
Radiology (Diagnostic Radiology)
330 BROOKLINE AVE DEPT OF
BOSTON, MA 02215
Suffolk County (617) 754-9500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Seo Ho Song's NPI number?

The NPI number for Seo Ho Song is 1013667989. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Seo Ho Song located?

Seo Ho Song practices at 330 Brookline Ave Dept Of, Boston, MA 02215. The listed phone number is (617) 667-1029.

What is Seo Ho Song's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Seo Ho Song enrolled in Medicare?

Yes. Seo Ho Song is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Seo Ho Song's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Seo Ho Song reassigns Medicare benefits to 2 organizations: Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (Boston, MA) and Hri Hospital, Inc (Brookline, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Seo Ho Song's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Seo Ho Song accept?

Health plans from Harvard Pilgrim Health Care list Seo Ho Song as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Seo Ho Song affiliated with any hospitals?

According to CMS data, Seo Ho Song is affiliated with Beth Israel Deaconess Medical Center.

When was this NPI record last updated?

The NPPES record for Seo Ho Song was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.